Active NPI
Victor Mofor Nkehsera
- Case Manager/Care Coordinator
- Lanham, MD
National Provider Identifier
1376233148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 5415 85TH Ave Apt 202
Lanham, MD 20706-4509 - Phone
- (857) 265-6190
- NPI assigned
- May 15, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | |||
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
5415 85TH Ave Apt 202
Lanham, MD 20706-4509
Mailing address
1818 New York Ave NE
Washington, DC 20002-1848
Phone (857) 265-6190
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686614400000",
"number": "1376233148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1818 NEW YORK AVE NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200021848",
"telephone_number": "857-265-6190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5415 85TH AVE APT 202",
"city": "LANHAM",
"state": "MD",
"postal_code": "207064509",
"telephone_number": "857-265-6190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NKEHSERA",
"first_name": "VICTOR",
"middle_name": "MOFOR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-05-15",
"last_updated": "2023-06-13",
"certification_date": "2023-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lanham, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.